ABA Credentialing Specialist — Insurance Enrollment Pro

Genius Agency AI; Virginia (MN); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare service provider is seeking an experienced Credentialing Specialist to support ABA therapy services for children with autism. The ideal candidate will have robust experience in US medical credentialing, particularly credentialing Board Certified Behavior Analysts and therapists with various insurance payers. Responsibilities include managing credentialing applications and ensuring compliance with regulatory requirements. This role demands excellent documentation and communication skills, emphasizing independence and thorough knowledge of insurance processes.

Qualifications

• At least 2 years experience in US medical credentialing.
• Experience credentialing Board Certified Behavior Analysts (BCBA) or therapists.
• Strong knowledge of US insurance credentialing process.

Responsibilities

• Process provider credentialing applications.
• Manage CAQH provider profiles and updates.
• Credential providers with insurance networks.

Skills

Experience in US medical credentialing

Excellent documentation skills

Strong communication skills

Ability to work independently

Job description

A healthcare service provider is seeking an experienced Credentialing Specialist to support ABA therapy services for children with autism. The ideal candidate will have robust experience in US medical credentialing, particularly credentialing Board Certified Behavior Analysts and therapists with various insurance payers. Responsibilities include managing credentialing applications and ensuring compliance with regulatory requirements. This role demands excellent documentation and communication skills, emphasizing independence and thorough knowledge of insurance processes.